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[Parenteral nutrition--peripheral venous feeding]
1I. Chirurgische Abteilung, Städtisches Krankenhaus München-Neuperlach.
Infusionstherapie (Basel, Switzerland)
|October 1, 1989
Summary
Peripheral-venous nutrition, also known as hypocaloric parenteral nutrition, provides essential nutrients for patients. This method is favored for its ease of use in the early postoperative phase.
Area of Science:
- Clinical Nutrition
- Parenteral Nutrition
- Metabolism
Context:
- Peripheral-venous nutrition (PVN) and hypocaloric parenteral nutrition (HPN) are often used interchangeably.
- These nutritional support methods deliver approximately 2 g carbohydrates and 1.0-1.5 g amino acids/kg BW/day.
- Combination solutions in 3-liter concepts are available in Germany.
Purpose:
- To discuss the characteristics and applications of peripheral-venous and hypocaloric parenteral nutrition.
- To highlight the importance of osmolality for peripheral venous administration.
- To recommend carbohydrate sources for hypocaloric parenteral solutions.
Summary:
- PVN/HPN solutions require careful consideration of osmolality, ideally twice that of plasma, for peripheral vein tolerance.
- Low mineral content is preferred in solutions for peripheral venous use due to osmolality considerations.
- Glucose or xylitol are recommended carbohydrates in hypocaloric parenteral solutions, avoiding fructose and sorbit due to intolerance risks.
Impact:
- Facilitates early postoperative nutritional support with simplified handling.
- Informs clinical practice regarding safe and effective peripheral parenteral nutrition strategies.
- Contributes to optimizing patient recovery through appropriate nutritional interventions.